NPI 1073272936

Makenna Stafford, RD

Practitioner Registered Dietitian Clackamas, OR

Practice location

Address: 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
Phone: (971) 279-0963
Mailing address: PO Box 401, Corbett, OR 97019-0401

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 10217202 (OR)

Other Dietitian, Registered providers in Oregon →

Registry record

NPI: 1073272936
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2021
Record last updated: 7 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.